Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $18.32 / $451.43	Facility		$14.88	$18.32	$451.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.88 / $18.55	Professional		$10.61	$14.88	$18.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $17.97 / $27.84	Professional		$15.19	$17.97	$27.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $17.53 / $21.69	Facility		$14.61	$17.53	$21.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $20.45	Professional		$16.07	$16.07	$20.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $46.75 / $55.00	Professional		$46.75	$46.75	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $17.47 / $31.39	Professional		$12.23	$17.47	$31.39